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Journal of Rational-Emotive & Cognitive-Behavior Therapy

Gepubliceerd in:

01-06-2009 | Original Article

Trait Anger and Axis I Disorders: Implications for REBT

Auteurs: Wilson McDermut, J. Ryan Fuller, Raymond DiGiuseppe, Iwona Chelminski, Mark Zimmerman

Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy | Uitgave 2/2009

Abstract

Anger has a prominent role in basic theories of emotion. And while many psychiatric disorders can be conceived of as emotional disorders (e.g., depressive disorders, anxiety disorders), there are no disorders for which anger is the cardinal feature. We analyzed diagnostic data on 1,687 (as later) psychiatric outpatients and looked at the co-occurrence of high trait anger (as assessed by criterion 8 of Borderline Personality Disorder) and Axis I disorders, and Borderline and Antisocial Personality Disorders. The purpose was to examine whether dysfunctional anger met criteria necessary to be considered a valid diagnostic category. Results showed that high trait anger was not fully accounted for by any particular Axis I diagnosis, or any set of Axis I diagnoses, or by the combination of Axis I diagnoses and Borderline and Antisocial PDs. Trait anger also accounted for significant amounts of unique variance in several indicators of psychiatric impairment and psychosocial functioning. We describe the anger disorder diagnoses of Eckhardt and Deffenbacher (Anger disorders: Definition, diagnosis and treatment. Taylor & Francis, Bristol, PA, 1995), and discuss the implications of those diagnoses for the practice of REBT and CBT.

vorige artikel Distress Tolerance and Rational-Emotive Behavior Therapy: A New Role for Behavioral Analogue Tasks

volgende artikel Commentary on the Current Status of Assessment in Rational-Emotive and Cognitive-Behavior Therapy

Anger research in psychology and psychiatry has used the terms anger, irritability, hostility, and resentment interchangeably. Though it is beyond the scope of this paper to define the nuances of these terms we have included our definition of anger: “Anger is a subjectively experienced emotional state with high sympathetic autonomic arousal. It is initially elicited by a perception of threat, although it may persist after the threat has passed. Anger is associated with attributional, informational, and evaluative cognitions that emphasize the misdeeds of others and motivate a response of antagonism to thwart, drive off, retaliate against, or attack the source of the perceived threat. Anger is communicated through facial or postural gestures or vocal inflections, aversive verbalizations, and aggressive behavior (p. 21, DiGiuseppe and Tafrate 2007).” Anger and aggression have also been used interchangeably in the literature, though they are not the same. Anger is an emotional state (described above), and aggression refers to behavior.

Because of space limitations, complete results of the regression analyses are not presented, but can be obtained from the first author.

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Titel: Trait Anger and Axis I Disorders: Implications for REBT
Auteurs: Wilson McDermut
J. Ryan Fuller
Raymond DiGiuseppe
Iwona Chelminski
Mark Zimmerman
Publicatiedatum: 01-06-2009
Uitgeverij: Springer US
Gepubliceerd in: Journal of Rational-Emotive & Cognitive-Behavior Therapy / Uitgave 2/2009
Print ISSN: 0894-9085
Elektronisch ISSN: 1573-6563
DOI: https://doi.org/10.1007/s10942-009-0092-2

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